Simplifying
Employee
Benefits
BANSAL PRECISION FORGE
LTD.
Index
Policy Features
Claims Process
Visit App
Coverages for Employees
Insurer TPA Policy Start Date Policy End Date Family Definition Sum Insured
Magma HDI MD India 25-May-2024 24-May-2025 Employee, Spouse and INR 5 Lacs
Kids
ICU
Mid term addition of Room Maternity Mid term addition of Baby
Charges
existing dependants Rent Coverage new dependants(Newly wed & Coverage
new born baby) of already
Actuals enrolled employee
Not allowed Actuals NA Covered
Not
Allowed
Special Conditions of your
policy
Pre-Existing Disease (PED)
Covered
Robotic Surgery/Bio-absorbabLe Stent/KT Laser Prostate
50% Co Pay
Claim for Lasik Treatment-
Lasik Surgery for power above +/- 7.5
Covid expenses -
Covered on IPD
Basis
Pre & Post Hospitalization
Pre-Hospitalisation Expenses
● If the Insured member is diagnosed with an Illness which results in his/her Hospitalization and
Definition for which the Insurer accepts a claim, the Insurer will also reimburse the Insured Member’s
Pre-hospitalisation Expenses.
Covered ● Yes
Duration ● 30 days
What duration bills can I file for
● 30 Days
reimbursement
Post-Hospitalisation Expenses
● If the Insurer accepts a claim under Hospitalization and immediately following the Insured
Member’s discharge, further medical treatment directly related to the same condition for which
Definition the Insured Member was Hospitalized is required, the Insurer will reimburse the Insured
member’s Post-hospitalisation Expenses.
Covered ● Yes
Duration ● 60 Days
What duration bills can I file for
● 30 Days
reimbursement
Any treatment that requires hospitalization for more than 24 hours is termed as Standard Hospitalization
Ambulance Coverages
Emergency Ambulance Service for Transportation-
The Insurer will pay for Emergency Ambulance & other road
transportation by a licensed ambulance service to the nearest
Hospital where Emergency Health Services can be rendered.
Coverage is only provided in the event of an Emergency.
Amount restriction
for ambulance
Road ambulance charges are covered
up to INR 1000/- per incident in case
of emergency.
Day care
procedures
Hospitalization is mandatory for Listed Day care
procedures.
Procedures - Dialysis, Chemotherapy,
Eye Surgery, Angiography etc.
OPD procedures are not Day care
procedures.
Claims Journey | Cashless
1. Claim Intimation 2. Claim Processing 3. Approval TAT
Documents Required: Intimate claim request to:
3-4 Hours
Prescription
Email id :
KYC
[email protected]
E cards
Claims Journey | Reimbursement
1. Claim Intimation 2. Claim Processing 3. Claim Settlement TAT
Prescription
20-30 working days
Intimate Claim Request on :
KYC
Send details to
Email id :
[email protected]
DS
Hospital
Final Bill
Bank
Details
Claim Form -
A&B
Claim Documents - List for Reimbursement
Provide break-up details including Pharmacy
Completed Claim form with
items, Materials, Investigations even though it is
Signature
there in the main bill
In case the hospital is not registered, please get
Hospital bills in original (with bill no. signed a letter on the Hospital letterhead mentioning
and stamped by the hospital) with all charges the number of beds and availability of doctors
itemized and the original receipts and nurses round the clock.
In a non-network hospital, you may have to get
Discharge Report/Certificate/Card the hospital and doctor’s registration number in
(original) Hospital letterhead and get the same signed
and stamped by the hospital, if required.
Attending Doctors’ bills and receipts and
certificate regarding diagnosis (if separate
from hospital bill)
Original reports or attested copies of Bills and
Receipts for Medicines, Investigations along
with Doctors’ original prescription and
Laboratory
Follow-up advice or letter for line of treatment
after discharge from hospital, from Doctor.
Contact Matrix for Employees
Service Support
Level 1 Customer Support 18005723918 10:00 AM - 07:00 PM
PB Cashless Claims Support
Servicing Vertical Name Contact No Email ID
18003094876
Reimbursement Support
Servicing Vertical Name Contact No Email ID
General Exclusions
Vitamins and tonics unless used for
treatment of injury or disease as prescribed Cost of spectacles, contact lenses, hearing aids.
by the Doctor.
Health foods/nutritional supplements. Any cosmetic or plastic surgery except for
correction of injury.
Costs incurred as part of the
membership/subscription to a Clinic or Health
Center.
HIV and AIDS & its related complications.
Non-medical expenses like Hospital
surcharge, telephone bills, cafeteria bills.
Injury or disease caused directly or indirectly
by nuclear weapons.
Visit app process to download the app
STEP 1
Scan QR to Download the Visit
app from Play Store/App Store.
STEP 2
Open the Visit App
STEP 3
Enter your official email ID / Contact Number
STEP 4
Enter the OTP Received on your Phone
Download Visit Application
Apple Users: Android Users:
Click on the below Click on the below
icon to Download icon to Download the
the Visit App on Visit App on your
your Apple phone Android phone
Register On Visit Application
Step 2
Step 1
Tap on Sign up with your
Get Started mobile number
registered with your
People Service Team
Register On Visit Application
Step 3 Step 4
Log in using your Go to the E-Card Tab
work email address to see all your E-card
and click on “I am a and policy benefits
sponsored user”
A program designed to help you lead a
happier, healthier life
Emotional Counselling
Financial Wellness
Buddy Managers
Program
Legal Advice
Nutrition Lifestyle
Management
Meditation & Mindfulness
Sessions
How to access E-Card
Click on the Ecard Tab to view
E-Cards and all the Policy Benefits
Health & Wellness Dashboard
One-click access to Fitness & Wellness Management
Activity, Sleep & Meal Tracking
Digital Video Wellness/Fitness Sessions
Rewards Program - FITCoins
Health Risk Assessment
Health Data Monitor
Guided Meditation Programs & Mindfulness
Podcasts
Unlimited Digital Fitness
Guided Meditation Programs and
Mindfulness Podcasts
Fitness Videos &
Mental Health
Training programs via pre-recorded/live Podcasts
videos
Habit formation through Gamification &
Rewards Programs
Tele-Medicine | Doctor on Video/Voice/Chat
Step Under the Care tab,
click on My Online
1 Consults
Choose the
Specialist with Step
whom you wish
to consult
2
Tele-Medicine | Doctor on Video/Voice/Chat
Step Select your
preferred Doctor
3 to consult
You can now
consult the Doctor Step
4
₹0
over chat/call.
THANK
YOU
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